| NPI | 1063487932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD046178L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD046178L) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.140801) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-08-29 |