| NPI | 1982832192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036162498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 35115) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 35115) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AL 35155) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-01-12 |