| NPI | 1922531300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 61892) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC LL88120) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 61892) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2026-08-26 |