| NPI | 1578882817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.131159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131159) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2020-04-21 |