| NPI | 1659520393 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 248170)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236109)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME md20447)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ME MD20447)  | |
| Enumeration Date | 2008-09-18 | 
| Last Update Date | 2019-10-08 |