NPI | 1699096974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.121339) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.121339) |
207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.121339) | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2022-07-21 |