| NPI | 1770815540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NC 2026-04122) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 282955) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 282955) | |
| 207R00000X Internal Medicine (Licence: PA OTO13187) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NY 282955) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2026-08-03 |