| NPI | 1962769679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OR MD186212) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD186212) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-11-24 |