NPI | 1235873548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 3019108) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116036489) |
Enumeration Date | 2022-04-22 |
Last Update Date | 2025-06-28 |