| NPI | 1194053686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD047869L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD047869L) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD047869L) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |