| NPI | 1437415569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.143966) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.143966) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 25165906) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-03-25 |