NPI | 1497118020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.157098) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.157098) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2021-07-26 |