| NPI | 1720490600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MN 66674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207009) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-10-25 |