NPI | 1003868209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 61365) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D56290) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45769) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2021-02-23 |