| NPI | 1962744805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS13387) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: FL OS13387) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 6589) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-11-16 |