| NPI | 1467892059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A172401) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 291785) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A172401) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A172401) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-12-06 |