| NPI | 1174180152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: RI MD21184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04582) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2026-07-09 |