| NPI | 1508058371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2019-1027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107873) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2019-1027) | |
| 208M00000X Hospitalist (Licence: CA A107873) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-02-28 |