| NPI | 1114127354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 45698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45698) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45698) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2026-08-24 |