| NPI | 1205217361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11018418A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 30556) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 55947) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX U2434) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-08-30 |