| NPI | 1003018201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2020040971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0068254) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020040971) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01071122A) | |
| 208M00000X Hospitalist (Licence: PA MD459063) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-02-02 |