| NPI | 1649563255 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: GA 85219) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 85219) | 
| Enumeration Date | 2011-05-16 | 
| Last Update Date | 2020-12-07 |