NPI | 1396107520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD047604) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A161967) |
Enumeration Date | 2016-03-26 |
Last Update Date | 2020-03-30 |