| NPI | 1114269180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 34.012384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012384) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.012384) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-11-07 |