| NPI | 1437449253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 53116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198854) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 53116) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198854) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2019-08-01 |