| NPI | 1407242951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC pending) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-00907) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 695807) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 695807) | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2022-06-26 |