NPI | 1184720393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 310926) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD18034) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2021-07-13 |