| NPI | 1841426194 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX R3545) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD039632) | 
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: VA 0101255969) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101255969) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R3545) | |
| Enumeration Date | 2009-06-01 | 
| Last Update Date | 2022-11-02 |