| NPI | 1497967863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.095381) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT187642) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD432097) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.095381) | |
| 207R00000X Internal Medicine (Licence: OH 35.095381) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2022-06-15 |