| NPI | 1063855708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 64845) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: CT 64845) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-01-06 |