NPI | 1629694484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020016921) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020016921) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-06-16 |