NPI | 1578981882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 78617) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 078617) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2022-07-01 |