| NPI | 1003254186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA C200774) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61040173) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U6120) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX U6120) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2025-12-03 |