NPI | 1073742144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME167152) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01637) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 43092) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2024-07-10 |