| NPI | 1245488899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-39165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52065) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 52065) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301105906) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-39165) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301105906) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 4301105906) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2016022289) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2018-12-18 |