| NPI | 1457615213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.142166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 5650) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-01-15 |