NPI | 1912569294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036.159326) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074691) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2022-07-14 |