| NPI | 1679575492 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 35059) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 35059) | 
| 207R00000X Internal Medicine (Licence: MN 35059) | |
| Enumeration Date | 2005-08-11 | 
| Last Update Date | 2010-05-21 |