NPI | 1922414440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.42698) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 42698) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2022-09-23 |