| NPI | 1851829410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD19911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017021932) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.152205) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2024-05-30 |