| NPI | 1578551453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD064545L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD064545L) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88536) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2016-03-02 |