| NPI | 1124377064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME140181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P6543) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2019-06-05 |