NPI | 1104357631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 04-49781) |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WI 82039-20) |
207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2024033053) | |
Enumeration Date | 2017-03-26 |
Last Update Date | 2024-08-19 |