| NPI | 1013143122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD483113) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX R3118) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-42641) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R3118) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 29697) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-05-24 |