| NPI | 1598928418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA MD.205625) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MT047804) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT047804) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MS 22453) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-09-04 |