NPI | 1629572557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 66086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66086) |
207R00000X Internal Medicine (Licence: MN 29293) | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2021-06-22 |