NPI | 1144458399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 247060) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 240578) |
207P00000X Emergency Medicine (Licence: MA 247060) | |
Enumeration Date | 2009-06-26 |
Last Update Date | 2014-11-24 |