| 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 |