| NPI | 1518351873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME156692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME156692) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 90003) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME156692) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-01-30 |