| NPI | 1154818193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: IA MD-52721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315053) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-07-11 |