| NPI | 1184913501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101266659) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101266659) |
| 207R00000X Internal Medicine (Licence: OH 35.131397) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-10-24 |