| NPI | 1962639864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WA MD60797883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098753) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-02-12 |