| NPI | 1699193458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME167418) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: RI LP04927) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: RI MD18384) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME167418) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2024-08-28 |