| NPI | 1770843724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11760000) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R7210) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116025076) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-05-19 |