NPI | 1164802211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 69459) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066679) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 55994) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ R75969) | |
Enumeration Date | 2015-06-04 |
Last Update Date | 2021-06-25 |