NPI | 1447292545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A108586) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 226299) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2021-12-01 |