NPI | 1366616286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 069600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 135030) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2022-01-10 |