| NPI | 1609229160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 14277944-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN22581) |
| 207R00000X Internal Medicine (Licence: AZ 56373) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2026-07-17 |