| NPI | 1740623958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A172316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063070) |
| 207R00000X Internal Medicine (Licence: CA A172316) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A172316) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-04-21 |