| NPI | 1912435884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 328163) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD476542) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-06-17 |