NPI | 1164451241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 53318) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 62552) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-13 |