| NPI | 1215342241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX S5616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T - 2794) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2021-08-18 |