| NPI | 1235517871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019321) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2024-01149) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS019321) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA OS019321) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2024-01149) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2024-07-31 |