| NPI | 1487850780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: SC 37187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008022576) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 37187) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2006015651) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2021-06-02 |