| NPI | 1568814051 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.151449)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301511953)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.151449)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD477215)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301511953)  | |
| Enumeration Date | 2016-07-07 | 
| Last Update Date | 2025-03-10 |