Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 226969 | NY |
NPI | 1164420147 |
---|---|
Provider Name | Robert H Svenson |
First Address | Utica, NY 13501-5930 |
Second Address | Utica, NY 13501-5930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02359180 | (05) | NY |
C89541 | (02) | NY |