NPI | 1558700047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD19521) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 56322) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2023-10-11 |