| NPI | 1841496320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI DOS-1859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202350) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0102202350) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-07-20 |