| NPI | 1295033116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.126638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH OH126638) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2021-01-11 |