| NPI | 1619382397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME160409) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD461504) |
| 207R00000X Internal Medicine (Licence: IA 47257) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2023-07-06 |