| NPI | 1952776643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A139225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A139225) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2022-09-02 |