| NPI | 1043448285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX R2451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009014213) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-04-08 |