| NPI | 1538563036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX U3140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.129206) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OK 37758) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-11-08 |