| NPI | 1427194687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P0202) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR-43713) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A 108697) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-11-16 |