NPI | 1184203226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V8958) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 48286) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-09-10 |