| NPI | 1518220136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.136673) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.136673) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.136673) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-07-10 |