| NPI | 1669431615 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A91638) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A91638) | 
| 207R00000X Internal Medicine (Licence: HI MD16085) | |
| Enumeration Date | 2006-03-20 | 
| Last Update Date | 2025-07-03 |