NPI | 1063944346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TRN24271) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN24271) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-03-15 |