| NPI | 1053430496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MI 4301085961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085961) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301085961) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085961) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-02-16 |