NPI | 1104003748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 005222) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.119058) |
Enumeration Date | 2008-01-25 |
Last Update Date | 2022-04-06 |