NPI | 1700316759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T7849) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7849) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-09-12 |