| NPI | 1124260385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01093067A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 53779) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01093067A) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AK 48984) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 53779) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-06-28 |