| NPI | 1902876196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 01038291A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01038291A) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35061337) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-10-10 |