| NPI | 1518074731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G64811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G64811) |
| 207R00000X Internal Medicine (Licence: TX K0898) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX K0898) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA G64811) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX K0898) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-05-12 |