| NPI | 1083252332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 47625) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX 47625) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.247041) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-09-20 |