| NPI | 1306884150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 15826) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 42939) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 42939) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: AL MD.36009) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 42939) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.36009) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.36009) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2026-06-15 |