| NPI | 1629013008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX N7264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 36560) |
| 174400000X Specialist (Licence: TN MD36560) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-03-12 |