NPI | 1184011645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX V3437) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 77317) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V3437) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2024-11-04 |