| NPI | 1912184730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME142305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50107) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OK 33169) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 50107) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2019-12-26 |