| NPI | 1992171805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: SC 91036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.066718) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC LL52341) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 55366) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 91036) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2025-07-24 |