| NPI | 1508960683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.138982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.138982) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD439893) | |
| 207R00000X Internal Medicine (Licence: PA MD439893) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD439893) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.138982) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2026-01-12 |