| NPI | 1023129426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35134077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090894) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301090894) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00043721) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301090894) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-07-16 |