| NPI | 1699862763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 174798) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 174798) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NY 174798) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |