| NPI | 1245542166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 69467) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WI 69467) |
| 207R00000X Internal Medicine (Licence: PA MD455833) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-08-08 |