| NPI | 1710275953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX S3855) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101250210) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S3855) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2026-01-28 |