| NPI | 1669816336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 54148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09840100) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP093) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 277788) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 54148) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP093) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-08-05 |