| NPI | 1235378217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME144310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237486) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: FL ME144310) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TX P1099) | |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2022-07-21 |