NPI | 1205096070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036156417) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 259974) |
207R00000X Internal Medicine (Licence: MI 4301108224) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301108224) | |
Enumeration Date | 2008-06-14 |
Last Update Date | 2021-08-26 |