NPI | 1376525600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME22473) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME22473) |
Enumeration Date | 2005-11-14 |
Last Update Date | 2020-02-27 |