| NPI | 1215998091 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX L0470)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD44513)  | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN MD44513)  | |
| Enumeration Date | 2006-03-31 | 
| Last Update Date | 2021-01-06 |