NPI | 1225303563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME159663) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0442329) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2022-12-02 |