| NPI | 1902396377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 60719) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 60719) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 60719) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036170231) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2026-03-03 |