| NPI | 1770509168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX K1833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX k1833) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-09-22 |