NPI | 1295001196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 68774) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0085664) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2024-11-08 |