| 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 |