| NPI | 1184883209 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MA 256905)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 256905)  | 
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 256905)  | |
| Enumeration Date | 2008-06-04 | 
| Last Update Date | 2019-04-25 |