NPI | 1396060638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A141637) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141637) |
Enumeration Date | 2010-03-30 |
Last Update Date | 2019-06-28 |