| NPI | 1326401860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX U5271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 320114) |
| 207R00000X Internal Medicine (Licence: LA 302550) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-07-23 |