NPI | 1588041875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A146918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 60592) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2023-10-30 |