NPI | 1649667494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 301329) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 12264843-1205) |
208M00000X Hospitalist (Licence: NY 301329) | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2023-10-25 |