| NPI | 1811150816 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NJ 25MA12161200) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35096273) | 
| Enumeration Date | 2008-07-09 | 
| Last Update Date | 2024-07-09 |