| NPI | 1730629841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 207RC0001X) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02006194A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2025-08-26 |