NPI | 1184627291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS8945) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 055554) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2022-01-31 |