| NPI | 1750701421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA 326260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050266) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R2112) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-11-01 |