| NPI | 1588827604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX Q9119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187678) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-01-04 |