| NPI | 1679952071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2025028970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 079173) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301508057) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036161132) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2025-08-07 |