NPI | 1386059020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY C4115) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U3648) |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX U3648) | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY C4115) | |
Enumeration Date | 2014-06-20 |
Last Update Date | 2025-08-06 |