| NPI | 1962631499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OH 35 129348) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MI 4301106008) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2017-02221) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301106008) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 2017-02221) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MI 4301106008) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-08-20 |