| NPI | 1316238736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S5571) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.014221) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036144807) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP61019920) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 83-321) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2026-06-18 |