NPI | 1407379993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 42941) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8052) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2024-07-11 |