| NPI | 1669416160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0092421) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101239751) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA09948900) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-01-09 |