| NPI | 1942596705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036135739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135739) |
| 207R00000X Internal Medicine (Licence: IL 125:059826) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-06-02 |