NPI | 1154646289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A118588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118588) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2022-08-05 |