| NPI | 1073889622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX U5166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 56984587) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U5166) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-05-21 |