| NPI | 1902251598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL UO9638) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-05-06 |