| NPI | 1477871192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 11619461-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R8283) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD183201) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2023-10-30 |