| NPI | 1730194150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX L8654) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 12748) | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MT 12748) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ID M13580) | |
| Enumeration Date | 2006-07-31 | 
| Last Update Date | 2025-07-25 |