NPI | 1013651736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OT021559) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT021559) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2025-06-03 |