| NPI | 1548729833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A176995) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A176995) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A176995) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2024-01-30 |