| NPI | 1528471091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.42341) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA 382618) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN30357) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-08-20 |