NPI | 1457506545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35143591) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01076444A) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 50610) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2011-0571) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01076444A) | |
207R00000X Internal Medicine (Licence: KY 50610) | |
207R00000X Internal Medicine (Licence: NM MD2011-0571) | |
207R00000X Internal Medicine (Licence: IN 01076444A) | |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 50610) | |
Enumeration Date | 2008-11-18 |
Last Update Date | 2021-11-02 |