NPI | 1720159890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2010-0485) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME EC-06-1072) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2010-0485) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-11-12 |
Last Update Date | 2018-03-17 |