| NPI | 1437649159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101026005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023886) |
| 207R00000X Internal Medicine (Licence: MI 5101026005) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101023886) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2025-06-20 |