| 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 |