| NPI | 1649702259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A173057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.139757) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A173057) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2026-09-09 |