| NPI | 1710481486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: GA 87619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 87619) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 87619) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-02-23 |