| NPI | 1295188621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX V6677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0089025) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2025-08-14 |