NPI | 1437578820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101276224) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289526) |
207R00000X Internal Medicine (Licence: VA 0101276224) | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2023-08-28 |