| NPI | 1235691684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.180749) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MS T-3953) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036.180749) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-07-14 |