NPI | 1710196811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 76580) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 76580) |
207R00000X Internal Medicine (Licence: VA 0101278174) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101278174) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-06-16 |