NPI | 1427506682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 22376) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22376) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-06-06 |