NPI | 1669995841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 35237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307557) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2025-10-01 |