NPI | 1558500280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS016558) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS016558) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-02-19 |
Last Update Date | 2020-08-05 |