| NPI | 1760418479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD025622E) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD025622e) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD025622E) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA04806200) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-12-13 |