| NPI | 1639494339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 40654) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI LP03627) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-06-02 |