| NPI | 1699739151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 12536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-083390) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NV 12536) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-01-25 |