| NPI | 1427064088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX M2596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0530) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-05-29 |