NPI | 1760976765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.155495) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073047) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.155495) | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2022-04-11 |