| NPI | 1043573801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 280267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280267) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 38383) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 280267) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-11-01 |