| NPI | 1700167640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036166773) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 67458) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036166773) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME156591) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R72859) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2023-09-22 |