NPI | 1922661222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS22784) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410078) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2025-09-09 |