| NPI | 1679705263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.206239) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: LA MD.206239) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2022-03-07 |