NPI | 1023058575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301062290) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301062290) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2022-02-17 |