| NPI | 1912199704 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A106009)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A106009)  | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A106009)  | |
| Enumeration Date | 2007-08-15 | 
| Last Update Date | 2021-06-08 |