NPI | 1255691549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 284027) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201725) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2025-05-30 |