NPI | 1255607255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 72492) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 58874) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-24 |
Last Update Date | 2021-04-20 |