| NPI | 1710187836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.125514) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090092) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036125514) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2021-12-06 |