| NPI | 1669604682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.152311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273999) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.152311) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 303670) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 303670) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2025-01-13 |