| NPI | 1033476072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 62493)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127470)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A127470)  | |
| Enumeration Date | 2012-04-16 | 
| Last Update Date | 2022-07-01 |