| NPI | 1831532746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 26752) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD044412) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-01-11 |