| NPI | 1679702716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 57440) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: LA 302124) |
| 207R00000X Internal Medicine (Licence: MS T-2186) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2023-09-06 |