NPI | 1245659259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301513023) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 281445) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 281445) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2025-01-16 |