| NPI | 1093936429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NE 23935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23935) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NE 23935) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 23935) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-04-10 |