| NPI | 1124394564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35124986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.124986) |
| 207R00000X Internal Medicine (Licence: MI 4301502705) | |
| 207R00000X Internal Medicine (Licence: OH 57.021624) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35124986) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301502705) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301502705) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-11-03 |