NPI | 1861770992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME129057) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35122314) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-07-22 |
Last Update Date | 2021-06-28 |