NPI | 1073777579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036116640) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036116640) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036116640) | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2010-08-30 |