| NPI | 1154854800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD468492) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD468492) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD048159) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NJ 25MA11874400) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-09-07 |