| NPI | 1417964271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NH 10729) | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL OS9657) | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 041384) | |
| Enumeration Date | 2006-08-02 | 
| Last Update Date | 2012-05-23 |