| NPI | 1952741548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: TX BP10074365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102781) |
| 208M00000X Hospitalist (Licence: MI 4301102781) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301102781) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-06-28 |