NPI | 1760975536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MT215926) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215926) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2021-07-12 |