| NPI | 1013358704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NE 9569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD43700) |
| 208M00000X Hospitalist (Licence: IA MD-43700) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-08-16 |