| NPI | 1740455203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2023050446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011017300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0539012) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2024-01-24 |