| NPI | 1093960692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N2347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N2347) |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: TX N2347) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-09-20 |