| NPI | 1689850216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX N3877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060123) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-10-01 |