| NPI | 1801233093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME163059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH LT-3830) |
| 207R00000X Internal Medicine (Licence: FL ME131301) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60752929) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-08-21 |