NPI | 1780094805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 32071) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289454) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2024-04-24 |