NPI | 1366839490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 339964) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 35478) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-04-12 |