| NPI | 1932103827 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM A-1260-04)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM A-1260-04)  | 
| Enumeration Date | 2005-06-08 | 
| Last Update Date | 2011-08-19 |