NPI | 1447660022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T0406) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10092500) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10092500) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-05 |
Last Update Date | 2023-05-18 |