NPI | 1396277943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60970409) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60970409) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-06-28 |