| NPI | 1417394677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 65449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-255585) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: CT 65449) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2016-00576) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-06-10 |