NPI | 1982067336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A151883) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.153244) |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A151883) | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2025-08-27 |