NPI | 1326571894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 305539-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 305539-01) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2025-07-16 |