| NPI | 1952644312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 009603) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: AZ 009603) |
| 207R00000X Internal Medicine (Licence: FL OS13804) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP70025848) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-07-30 |