| NPI | 1922353069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD454895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202687) |
| 207R00000X Internal Medicine (Licence: DC MD044108) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MD044108) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2019-09-17 |