| NPI | 1902326200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NY 315327-01) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB12244900) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 272000) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-09-11 |