| NPI | 1699021972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T9778) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.37759) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL MD.37759) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T9778) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-04-24 |