| NPI | 1881016939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 296365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46259) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35-133783) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2021-09-11 |