NPI | 1336567486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 305239) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 305239) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2018-06-12 |