| NPI | 1508056441 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA MD.200764)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200764)  | 
| Enumeration Date | 2007-07-26 | 
| Last Update Date | 2022-07-19 |