NPI | 1780920777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301511612) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 274636) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301511612) | |
Enumeration Date | 2012-12-19 |
Last Update Date | 2025-09-24 |