| NPI | 1356723373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 65059) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101275489) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052409) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116031224) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-03-11 |