NPI | 1174560643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2012-0524) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0022409) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2020-09-08 |