| NPI | 1598994709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A107451) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG163191) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A 107451) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-02-11 |