| NPI | 1104034545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 229275) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018733) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 229275) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-08-01 |