NPI | 1205947868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 23894) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 23894) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-05-07 |