NPI | 1154573905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-127126) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055038) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2021-02-19 |