NPI | 1184621179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 31090) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-06-5715-S) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01085410A) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2025-08-19 |