| NPI | 1922203439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09632800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240190) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09632800) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 240190) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA09632800) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 240190) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-04-30 |