| NPI | 1285045518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101275066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101275066) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: VA 0101275066) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101275066) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2022-11-02 |