NPI | 1922488758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 63652) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209573) |
207R00000X Internal Medicine (Licence: IL 036145673) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 288939) | |
Enumeration Date | 2015-06-07 |
Last Update Date | 2021-10-01 |