| NPI | 1346371184 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101258943)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD11754)  | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: RI MD11754)  | |
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2023-07-20 |