NPI | 1083605265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C55725) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 211120) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 211120) | |
Enumeration Date | 2005-11-04 |
Last Update Date | 2024-04-27 |