| NPI | 1942614565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME175197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260308) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX T4633) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-12-29 |