| NPI | 1225370802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 83998) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV FA2053952) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV FA2053952) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-05-23 |