NPI | 1003074212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P8032) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 2260) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-05-26 |
Last Update Date | 2022-10-25 |