| NPI | 1205194826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD198943) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX Q4370) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q4270) | |
| 207R00000X Internal Medicine (Licence: KY 48875) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2020-10-12 |