NPI | 1952782476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101021940) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021940) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2022-07-12 |