NPI | 1821336405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 325085) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 325085) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-01-16 |
Last Update Date | 2020-12-02 |