NPI | 1750624292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 54553) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 4405) |
207R00000X Internal Medicine (Licence: TN 54553) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2022-03-23 |