NPI | 1235484866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-138431) |
Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: IL 036138431) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2020-12-02 |