| NPI | 1528017951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 14089) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 14089) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: SC 14089) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: SC 14089) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-06-27 |