| NPI | 1538586607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR DO219076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO219076) |
| 207R00000X Internal Medicine (Licence: PA OS019264) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO219076) | |
| 208000000X Pediatrics (Licence: OR DO219076) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-09-11 |