NPI | 1114486487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88271) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 88271) |
Enumeration Date | 2019-03-17 |
Last Update Date | 2022-06-21 |