NPI | 1144256181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00036068) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD21172) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2021-11-11 |