| NPI | 1053725911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 65524) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: OH 35.133217) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 65524) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-01-24 |