| NPI | 1659790004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME162691) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125065316) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 316018) | |
| 208M00000X Hospitalist (Licence: IL 036142466) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-06-13 |