NPI | 1821450511 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D98002) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464643) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2019013241) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D98002) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-11-12 |