NPI | 1962883272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0072970) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054224) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2022-0133) | |
Enumeration Date | 2015-06-11 |
Last Update Date | 2024-08-13 |