NPI | 1306226113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 52793) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 52793) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-05 |
Last Update Date | 2023-08-11 |