| NPI | 1235465311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: AZ 59074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 59074) |
| 207R00000X Internal Medicine (Licence: TX BP1-0034534) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 59074) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX P1829) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2023-02-21 |