| NPI | 1891070942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 11795609-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.019160) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 11795609-1205) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2025-11-24 |