NPI | 1235661430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036-164058) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036164058) |
207R00000X Internal Medicine (Licence: OH 35.144049) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2025-08-11 |