| NPI | 1093907107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 47969) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: AZ 47969) |
| 207R00000X Internal Medicine (Licence: AZ 47969) | |
| 207R00000X Internal Medicine (Licence: TX N3380) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 47969) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-07-27 |