| NPI | 1265417992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2021038192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021038192) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2021038192) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2021-11-15 |