NPI | 1659614451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS 14021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 14021) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2021-03-30 |