NPI | 1114456787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5151011025) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151011025) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-07-20 |