| NPI | 1922341023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35-139185) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.139185) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.139185) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.139185) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-10-23 |