NPI | 1053792366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A19304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A19304) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2022-10-04 |