NPI | 1699120063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 312734) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312734) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-03-19 |