NPI | 1417362112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA 332839) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 283663) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 20429) | |
Enumeration Date | 2014-06-23 |
Last Update Date | 2022-11-10 |