| NPI | 1497905269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME109875) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 229183) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 238518) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-01-24 |