NPI | 1235428657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01075467A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01075467A) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2021-06-11 |