| NPI | 1225325673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 303250-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL33919) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL TRN21517) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-06-03 |