| NPI | 1417240326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35098174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.016019) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-12-28 |