| NPI | 1245763051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA DO-06301) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R8678) |
| 207R00000X Internal Medicine (Licence: TX R8678) | |
| 208D00000X General Practice (Licence: TX R8678) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-04-02 |