| NPI | 1003170861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NC 2017-01297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061364) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-01297) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2022-03-24 |