| NPI | 1962842591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: FL ME140287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN18580) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME140287) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-04-07 |