NPI | 1326497843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 99302) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA DO-06248) | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2024-05-21 |