| NPI | 1053094722 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.150968)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.150968)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.150968)  | |
| Enumeration Date | 2023-08-09 | 
| Last Update Date | 2025-05-21 |