NPI | 1184113359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME171399) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE TEP9157) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2025-08-07 |