| NPI | 1003058173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NE 1330) | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA DO-05049) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 1330) | |
| Enumeration Date | 2009-04-03 | 
| Last Update Date | 2018-02-21 |