NPI | 1790943694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 262723) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262723) |
390200000X Student in an Organized Health Care Education/Training Program | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 262723) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101263665) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2021-03-15 |