| NPI | 1073142899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 82267-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WI 82267-21) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-09-01 |