| NPI | 1962499400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD443592) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 224491) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NY 224491) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: PA MD443592) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2023-03-07 |