| NPI | 1376809962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME140081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140081) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME140081) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2020-01-17 |