| NPI | 1023547288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01083506A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301112269) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01083506A) | |
| 207R00000X Internal Medicine (Licence: IN 01083506A) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2025-10-02 |