NPI | 1255409439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 23848) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 60721228) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2022-04-07 |