| 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 |