| NPI | 1801269527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 80965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296490) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 80965) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-06-23 |