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 |