NPI | 1013006212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G45920) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G45920) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-21 |