| NPI | 1104879402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA005442000) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA05442000) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-01-28 |