| NPI | 1013700640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3017835) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 3017835) |
| 207R00000X Internal Medicine (Licence: MA 3017835) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 3017835) | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2026-05-11 |