| NPI | 1184914699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01078393A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078393A) |
| 207R00000X Internal Medicine (Licence: KY 50022) | |
| 207R00000X Internal Medicine (Licence: WI 61978-20) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 50022) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-08-16 |