| NPI | 1023403854 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11526600)  | 
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: DE C7-0005874)  | 
| Enumeration Date | 2015-03-30 | 
| Last Update Date | 2023-01-23 |