| NPI | 1093176901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351050227) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GU M-2405) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GU MTL-2023-014) | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-09-18 |