NPI | 1851754907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0070469) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.159582) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IA MD-45966) | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2023-06-26 |