NPI | 1710353123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 65839) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10280900) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-19 |
Last Update Date | 2024-08-06 |