| NPI | 1114004645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08519800) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 130192) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08519800) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA08519800) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 130192) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-04-11 |