| NPI | 1437172939 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 158187)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 158187)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 16134)  | |
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2019-03-19 |