| NPI | 1174513733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: OH 35096425) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.096425) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-10-27 |