| NPI | 1275988792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 305720) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 244202) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-01-23 |