NPI | 1215163605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101017844) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017844) |
Enumeration Date | 2009-05-31 |
Last Update Date | 2020-10-26 |