| NPI | 1619397072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX S9807) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S9807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205959) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-11-02 |