NPI | 1043848443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.162598) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076343) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-04-06 |