NPI | 1104029990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43573) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A116223) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TPME4861) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2022-12-02 |