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 |