| NPI | 1902040173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.099004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35099004) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.099004) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2019-06-17 |