| NPI | 1952587743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 8560751-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247202) |
| 207R00000X Internal Medicine (Licence: RI FS2238447) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2022-10-04 |