| NPI | 1508852039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0094667) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD043473E) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD043473E) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 172493) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-07-13 |