| NPI | 1346503307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 320467) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 50235) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 50235) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2021-07-08 |