| NPI | 1639171606 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A44096)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A44096)  | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A44096)  | |
| Enumeration Date | 2005-08-10 | 
| Last Update Date | 2019-03-14 |