| NPI | 1699745562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA 201354) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 201354) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35084798) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35084798) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-02-11 |