| NPI | 1942087457 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL MFC1952)  | 
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IN 11023280A)  | 
| 207R00000X Internal Medicine (Licence: FL MFC1952)  | |
| Enumeration Date | 2023-09-11 | 
| Last Update Date | 2025-09-16 |