| NPI | 1770510927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 34.010801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010801) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-12-13 |