NPI | 1790214054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A169690) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271627) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-05-16 |