NPI | 1184865982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A104497) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104497) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A104497) | |
Enumeration Date | 2009-03-09 |
Last Update Date | 2016-07-26 |