| NPI | 1417077603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 55207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088205) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35088205) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35 088205) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-03-11 |