| NPI | 1093959553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 079999) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.127754) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.022380) | |
| 207R00000X Internal Medicine (Licence: VA 0101253138) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 79999) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 7999) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2023-12-27 |