| NPI | 1447505607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A167683) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A167683) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200846) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-09-30 |