NPI | 1396032983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.36054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2403) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME132982) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 81780) | |
Enumeration Date | 2011-07-01 |
Last Update Date | 2019-10-08 |