NPI | 1356633341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60878043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60878043) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2023-09-14 |