| NPI | 1073569158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101283743) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD064414L) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301515023) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301515023) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD064414L) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-09-24 |