NPI | 1841499902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036128090) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MB08007300) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036128090) | |
Enumeration Date | 2007-07-17 |
Last Update Date | 2015-01-21 |