| NPI | 1346455755 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 65011) | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 278571) | 
| Enumeration Date | 2007-05-11 | 
| Last Update Date | 2020-03-31 |