| NPI | 1851359533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 066705)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45005)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 066705)  | |
| Enumeration Date | 2006-05-03 | 
| Last Update Date | 2012-02-07 |