NPI | 1679135099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 73422) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301507217) |
Enumeration Date | 2019-07-05 |
Last Update Date | 2023-10-25 |