| NPI | 1427443712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 278598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 077035) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD18990) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-09-14 |