| NPI | 1891958559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME151126) |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: MT MED-PHYS-LIC-11981) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 70238631205) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MT MED-PHYS-LIC-11981) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-07-14 |