NPI | 1164004818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 51117) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD485041) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2025-07-23 |