| NPI | 1003259607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V9469) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WV 32907) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D87246) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD490708C) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2025-08-07 |