| NPI | 1770790057 |
|---|---|
| Former Name | IVAN MENDOZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME109272) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-09-23 |