NPI | 1972915544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD24429) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 21201) |
207R00000X Internal Medicine (Licence: MA 259538) | |
Enumeration Date | 2014-05-29 |
Last Update Date | 2021-09-20 |