| NPI | 1376703942 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ND 14121)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097880)  | 
| 207R00000X Internal Medicine (Licence: MO 2008015651)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301097880)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301097880)  | |
| Enumeration Date | 2008-06-16 | 
| Last Update Date | 2021-11-04 |