| NPI | 1144736620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: PA MD469099) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: PA LT000798) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2019-12-30 |