| NPI | 1508159435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.138865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457147) |
| 207R00000X Internal Medicine (Licence: MI 4301098562) | |
| 207R00000X Internal Medicine (Licence: OH 35.138865) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD457147) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MT207994) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-11-03 |