NPI | 1104032093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS11614) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005203) |
207R00000X Internal Medicine (Licence: FL 0511614) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2023-05-04 |