| NPI | 1952668964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC 83479) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.122657) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D79373) | |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2020-07-29 |