| NPI | 1144466426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 82281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 53161) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2019-10-22 |