| NPI | 1912389826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 51527) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01087867A) |
| 208M00000X Hospitalist (Licence: KY 51527) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 51527) | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2022-07-14 |