NPI | 1053706804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX U2951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136524) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2023-12-11 |