| NPI | 1528245701 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101279256)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 51339)  | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01088453A)  | |
| Enumeration Date | 2008-01-30 | 
| Last Update Date | 2025-10-14 |