| NPI | 1609273085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2021-01614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.148665) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2021-01614) | |
| 208M00000X Hospitalist (Licence: IL 036.148665) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2021-09-16 |