NPI | 1285168971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 56992) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116031615) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2022-07-04 |