| NPI | 1508842048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MN 57117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 106863) |
| 207R00000X Internal Medicine (Licence: NC 200500494) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 57117) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-26 |