| NPI | 1831796408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK MERCER Credentialing Specialist 646-657-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |