| NPI | 1134575012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NY 332216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 332216) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 332216) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-06-04 |