| NPI | 1184942039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP61436528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 878) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 878) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA OP61436528) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2024-05-02 |