| NPI | 1588681316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101239211) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.200760) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-04-01 |