NPI | 1174085021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD226355) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD226355) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-09-08 |