NPI | 1265525174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 317145) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A70212) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A70212) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2023-03-07 |