| NPI | 1386808012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX Q7557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D74400) |
| 207R00000X Internal Medicine (Licence: PA mt191079) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MD D74400) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D74400) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-12-28 |