| NPI | 1104036029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2022032423) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022032423) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35C.003576) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY C5087) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-08-05 |