| NPI | 1558701748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: GA 103698) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: KY 49637) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: CA A162316) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 49637) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-03-31 |