| NPI | 1508090929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA10604700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452217) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC 40192) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-09-09 |