| NPI | 1366769663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD480097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263389) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME141431) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME141431) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2024-01-22 |