| NPI | 1730471970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.136725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452767) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2020-07-28 |