| NPI | 1528447331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 69341) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WI 69341) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-11-22 |