| NPI | 1710217062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX S6858) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 63466) |
| 207R00000X Internal Medicine (Licence: IL 125052429) | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2024-09-17 |