NPI | 1376934059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101281686) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q8376) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2024-06-27 |