| NPI | 1124403209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MA 291827) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NH 23750) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 291827) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 23750) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-05-01 |