| NPI | 1255619789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA C159950) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200414) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MT200414) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2019-01-22 |