NPI | 1326571902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX U3556) |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX U3556) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-10 |
Last Update Date | 2025-07-22 |