| NPI | 1689995862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CT 52969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-243911) |
| 207R00000X Internal Medicine (Licence: CT 52969) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 52969) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2017-07-14 |