| NPI | 1255308813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: UT 11831272-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 39616) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WI 39616-020) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-09-14 |