| NPI | 1902105463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME179619) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.207011) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-26427) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301099234) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.180772) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2026-08-26 |