| NPI | 1326004896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0067374) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IA MD-43883) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 46040) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD463497) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-08-7069) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-09-27 |