NPI | 1497214738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 85277) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073681) |
Enumeration Date | 2019-03-17 |
Last Update Date | 2025-09-05 |