| NPI | 1710241641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 56766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56766) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MN 56766) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S7817) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-05-24 |