NPI | 1679952071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036161132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 079173) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301508057) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-19 |
Last Update Date | 2024-07-26 |