NPI | 1275633216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A97444) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L5589) |
207R00000X Internal Medicine (Licence: TX L5589) | |
207R00000X Internal Medicine (Licence: CA A97444) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-12-09 |