| NPI | 1780004101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX T7895) | 
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A137787) | 
| 208M00000X Hospitalist (Licence: CA A137787) | |
| Enumeration Date | 2014-04-24 | 
| Last Update Date | 2024-07-16 |