| NPI | 1609155969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: GA 89458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP344) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2022-07-21 |