| NPI | 1235465311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 59074)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 59074)  | 
| 207R00000X Internal Medicine (Licence: TX BP1-0034534)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 59074)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX P1829)  | |
| Enumeration Date | 2009-10-26 | 
| Last Update Date | 2023-02-21 |