NPI | 1962727982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 051784) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 051784) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-01 |
Last Update Date | 2024-08-04 |