| NPI | 1164696530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: WV 3193) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 52173) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 02004222A) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 393) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OS015872) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-04-08 |