NPI | 1265928097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.165142) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 12793) |
Enumeration Date | 2018-07-04 |
Last Update Date | 2025-06-25 |