| NPI | 1023000809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME161996) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: VA 0101256847) |
| 207R00000X Internal Medicine (Licence: OH 35085788M) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101256847) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2023-06-29 |