NPI | 1477059616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-00153) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2021-00153) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-07-15 |