| NPI | 1285673426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 119131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 119131) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 119131) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-07-20 |