| NPI | 1477998896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D9074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D90794) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D90794) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD PENDING) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 21166) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-07-03 |