| NPI | 1174728893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2012015742) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2012015742) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036145685) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036145685) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2006015657) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-12-06 |