| NPI | 1427504299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 70206) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 70206) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301504730) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-02-05 |