NPI | 1891978177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60698217) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.204536) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-12-10 |
Last Update Date | 2020-12-03 |