NPI | 1699189944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 269550) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 269550) |
Enumeration Date | 2014-06-15 |
Last Update Date | 2021-11-13 |