| NPI | 1902136914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME150485) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME150485) |
| 208M00000X Hospitalist (Licence: IL 036125781) | |
| 207R00000X Internal Medicine (Licence: IL 036125781) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-09-27 |