| NPI | 1356345193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD041360-L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA056515) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD066096-L) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25ma068440) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 102020) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD041360-L) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA056515) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-04-16 |