| NPI | 1033479100 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A163312) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036137857) | 
| 207R00000X Internal Medicine (Licence: CA A163312) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 036137857) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036137857) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A163312) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-23 | 
| Last Update Date | 2025-02-06 |