NPI | 1881190213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 65855) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29153) |
207R00000X Internal Medicine (Licence: MN 65855) | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2022-06-30 |