NPI | 1467080713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.147902) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME174477) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME174477) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME174477) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-06-28 |