NPI | 1770514119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101272158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 17520) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101272158) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-05-03 |