| NPI | 1396892287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: LA MD.205674) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NC 2009-01212) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 31099) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.205674) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-01-15 |