NPI | 1396271045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 0000063289) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 0000063289) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2024-06-05 |