NPI | 1205364841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0071388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5366) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2023-12-11 |