NPI | 1396902839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME119572) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101246310) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 42453) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-109951) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2020-01-03 |