| NPI | 1639516636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 65101) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: CA 138687) |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: AZ 65101) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC LL40913) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL40913) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-08-24 |