| NPI | 1538398300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2011037569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-07-06 |