| NPI | 1265815229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01086012A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01086012A) |
| 207R00000X Internal Medicine (Licence: MA 264773) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01086012A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-07-13 |