| NPI | 1801200944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35143071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-065318) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-04-06 |