NPI | 1316233539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 35981) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098281) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2022-07-21 |