NPI | 1710249917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: OH 35.124479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.124479) |
207R00000X Internal Medicine (Licence: MI 4301117049) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.124479) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2023-11-03 |