| NPI | 1417486234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301112927) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 70924) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4351040730) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-06-19 |