NPI | 1891144317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD28008) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD28008) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2025-05-17 |