NPI | 1215355284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MN 62212) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62212) |
207R00000X Internal Medicine (Licence: IL 125064769) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-06 |
Last Update Date | 2021-06-28 |