| 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 |