NPI | 1912528225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351047103) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301510081) |
Enumeration Date | 2020-04-28 |
Last Update Date | 2025-06-04 |