| NPI | 1023515343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA13145300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 309615) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2026-06-02 |