NPI | 1710408547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 60308) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64205) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 64205) | |
Enumeration Date | 2017-07-01 |
Last Update Date | 2023-09-25 |