| NPI | 1518135821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX P5489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 28613) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2018-09-18 |