| NPI | 1386625069 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G22925)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA G22925)  | 
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA G22925)  | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CA G22925)  | |
| Enumeration Date | 2005-11-09 | 
| Last Update Date | 2011-11-10 |