| NPI | 1437390895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 294402) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 294402) |
| 282N00000X General Acute Care Hospital (Licence: MD D0071014) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2021-05-19 |