NPI | 1285045179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0094989) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064374) |
207R00000X Internal Medicine (Licence: MD D0094989) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME151106) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2022-10-21 |