| NPI | 1023282423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OK 32126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP927) |
| 207R00000X Internal Medicine (Licence: TN MD0000046600) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2016-06-16 |