NPI | 1801456892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022017844) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022017844) |
208D00000X General Practice (Licence: MO 2022017844) | |
Enumeration Date | 2019-06-20 |
Last Update Date | 2023-06-14 |