| NPI | 1457594681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 30119) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD15375) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2017-09-11 |