| NPI | 1437388303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CO DR.0058599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058599) |
| 207R00000X Internal Medicine (Licence: MA 251219) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO DR.0058599) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094369) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-03-17 |