NPI | 1821397092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX R8041) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX R8041) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-27 |
Last Update Date | 2018-09-10 |