| NPI | 1316107154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.132005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101249288) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WV 27026) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-02-17 |