NPI | 1134570633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 71049) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 279313) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 279313) | |
Enumeration Date | 2016-06-27 |
Last Update Date | 2022-06-21 |