| 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 |