| NPI | 1235172768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: FL ME113807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07969000) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME113807) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-02-05 |