| NPI | 1184966715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-01154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287613) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 58514) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2020-01154) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-03-04 |