NPI | 1497287189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0102205502) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 32526) |
208D00000X General Practice (Licence: VA 0102205502) | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2024-07-02 |