| NPI | 1487060364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2024033144) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036157212) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: RI LP03122) | |
| 207R00000X Internal Medicine (Licence: IL 036157212) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2024-11-17 |