| NPI | 1942733977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY TP710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.37493) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.37493) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-06-13 |