NPI | 1144494550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A142679) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A142679) |
207R00000X Internal Medicine (Licence: MA 247480) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2021-05-20 |