| NPI | 1043488661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME101341) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.089536) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OH 35.089536) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: FL ME101341) | |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2022-06-02 |