| NPI | 1760698609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 41978) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 57.009687) |
| 207R00000X Internal Medicine (Licence: KY 41978) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 41978) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-09-12 |