| NPI | 1649546748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA MD-48120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53481) |
| 207R00000X Internal Medicine (Licence: CT 53481) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2021-06-18 |