| NPI | 1952837023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD488068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 309484) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-06-27 |