| NPI | 1154674786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: SD 11036) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 11036) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.021722) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2020-02-04 |