| NPI | 1811129349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 285819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13791) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2018-03-17 |