| NPI | 1790976397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX M7071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX TX TEMP) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-04-07 |