| NPI | 1396051785 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01089124A)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 61806)  | 
| 207R00000X Internal Medicine (Licence: OH 35.120520)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01089124A)  | |
| 207R00000X Internal Medicine (Licence: GA 073818)  | |
| Enumeration Date | 2010-08-24 | 
| Last Update Date | 2025-11-03 |