| NPI | 1649590134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OK 33646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 33646) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 33646) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2025-09-02 |