| NPI | 1306134358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: AL 1990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60857145) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WA OP60857145) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP60857145) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2019-06-10 |