| NPI | 1316172182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11036600) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.129453) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 63998) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01076990B) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11036600) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2021-07-07 |