NPI | 1588291314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 35156) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1013690) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-08-12 |