| NPI | 1104057165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 004049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 004049) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 65546) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 274599) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 65546) | |
| 208M00000X Hospitalist (Licence: NY 004049) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-07-13 |