| NPI | 1083052252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY C5456) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042-0014796) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY C5456) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2026-04-28 |