| NPI | 1265468748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OH 35-089772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9368) |
| 207R00000X Internal Medicine (Licence: OH 35-089772) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35089772) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-08-04 |