| NPI | 1578619771 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101241919) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101241919) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0059724) | |
| Enumeration Date | 2007-01-28 | 
| Last Update Date | 2019-07-23 |