| NPI | 1386868982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NE 26705) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 26705) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35086561) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-03-02 |