NPI | 1144547001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 205979) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: LA MD.205979) | |
Enumeration Date | 2010-04-30 |
Last Update Date | 2023-10-26 |