| NPI | 1568807261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD455703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455703) |
| 207R00000X Internal Medicine (Licence: PA MT203373) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-08-24 |