NPI | 1851702088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A139457) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A139457) | |
Enumeration Date | 2014-05-09 |
Last Update Date | 2022-07-28 |