| NPI | 1730481516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX R7712) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R7712) |
| 207R00000X Internal Medicine (Licence: CA A114014) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2018-06-29 |