| NPI | 1205124898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.146308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-198142) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301109187) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA MD-44625) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 63038) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-11-03 |