NPI | 1629496484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME151100) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME151100) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0072051) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-30 |
Last Update Date | 2024-04-26 |