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 |