| NPI | 1114411725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MT216620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216620) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-03-28 |