| NPI | 1205093978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD455047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231885) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-07-21 |