| NPI | 1114056959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35 091740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.010568) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-07-06 |