NPI | 1699134775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MT MED-PHYS-LIC-84628) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN#18627) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-84628) | |
Enumeration Date | 2016-02-17 |
Last Update Date | 2020-08-31 |