NPI | 1487181038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME176098) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060322) |
Enumeration Date | 2017-05-15 |
Last Update Date | 2025-08-13 |