| NPI | 1669446928 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 13917) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 13917) | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PR 13917) | |
| Enumeration Date | 2006-02-14 | 
| Last Update Date | 2015-01-22 |