| NPI | 1033172077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 51514) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP696) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV WV 18125) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-08-16 |