| NPI | 1457364770 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WA MD60654139)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 13200)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60654139)  | |
| Enumeration Date | 2006-08-15 | 
| Last Update Date | 2017-11-20 |