NPI | 1982019832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2023005587) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7275) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 32701) | |
Enumeration Date | 2014-06-29 |
Last Update Date | 2024-06-27 |