| NPI | 1477972842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2016-02126) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2016-02126) |
| 207R00000X Internal Medicine (Licence: NC 2016-02126) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2016-02126) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-08-31 |