| NPI | 1003802547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 206004) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 206004-1) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 206004) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-06-16 |