| NPI | 1588953285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 007871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054774) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 288333) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 288333) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-11-30 |