| NPI | 1558713560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NC 2024-01574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 2024-01574) |
| 208M00000X Hospitalist (Licence: CT 63928) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-08-20 |