| NPI | 1336332717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME112292) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME112292) | |
| 207R00000X Internal Medicine (Licence: FL ME112292) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2013-08-06 |