NPI | 1396106217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101265291) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265291) |
Enumeration Date | 2016-03-20 |
Last Update Date | 2024-07-10 |