| NPI | 1912074964 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA09294000)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25ma09294000)  | 
| Enumeration Date | 2006-11-28 | 
| Last Update Date | 2025-02-10 |