| NPI | 1265526339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX R3996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00953) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-11-14 |