| NPI | 1790826923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX P6943) |
| Additional Taxonomies | 174400000X Specialist (Licence: A82897) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX P6943) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A82897) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA A82897) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2024-04-18 |