| NPI | 1861706806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2018036864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198154) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2023-02-02 |