NPI | 1487133914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-49039) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8237) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2024-05-23 |