NPI | 1811359011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D87038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87038) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD210011591) | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2024-06-05 |