| NPI | 1407342454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0102209206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018344) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-04-15 |