| NPI | 1992762108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 249476) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 249476) |
| 208M00000X Hospitalist (Licence: NY 249476) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-09-23 |