NPI | 1134482763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301101155) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101155) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2021-06-14 |