| NPI | 1497930127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: PA MD445683) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WV 02406) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OH 35. 120026) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-10-03 |