| NPI | 1871673319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.133759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00026761) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 247064) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME165855) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-06-03 |