| 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 |