NPI | 1295239945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 287579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071884) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2021-05-12 |