| NPI | 1487821344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MT MED-PHYS-LIC-141824) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: WA MD60395018) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: MT MED-PHYS-LIC-141824) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60395018) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD210689) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2025-04-20 |