| NPI | 1174753917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX P7651) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P7651) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OK 32411) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 32411) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-09-12 |