| NPI | 1114942752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: OH 35093674) |
| Additional Taxonomies | 207RI0001X Internal Medicine Clinical & Laboratory Immunology (Licence: OH 35093674) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-06-28 |