NPI | 1942753389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D96303) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D96303) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2023-11-09 |