| NPI | 1487271466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1.084494-RES) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 1.084494-RES) |
| 207R00000X Internal Medicine (Licence: IL 036165044) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-07-11 |