| NPI | 1245556554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 55826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 55826) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 55826) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2023-08-29 |