NPI | 1164545018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD038409) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101246611) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D69923) | |
Enumeration Date | 2007-04-07 |
Last Update Date | 2022-01-10 |