| NPI | 1790967834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45187) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 45187) |
| 208M00000X Hospitalist (Licence: MI 4301097521) | |
| 207R00000X Internal Medicine (Licence: MI 4301097521) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-08-27 |