| NPI | 1891802880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY TP339) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP339) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L1571) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX L1571) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2018-0640) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-04-11 |