NPI | 1265850499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042-0014529) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0014529) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2021-01-13 |