| NPI | 1487183604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036152969) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD61655565) |
| 207R00000X Internal Medicine (Licence: WA MD61655565) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61655565) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036152969) | |
| 207R00000X Internal Medicine (Licence: IL 125069815) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2025-11-20 |