| NPI | 1154617678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: WV 28382) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 28382) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN16013) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-11-24 |