| NPI | 1992227649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 04-50950) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2022015042) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022015042) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-06-19 |