NPI | 1396765095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL DO.1143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB07842300) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB07842300) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2022-11-30 |