| NPI | 1689931693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MI 4301114888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125971) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301114888) | |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2020-07-07 |