NPI | 1407473226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 14211508-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220393) |
Enumeration Date | 2020-06-27 |
Last Update Date | 2025-04-15 |