| NPI | 1134576614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD23592) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME MD23592) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-04-15 |