NPI | 1457514440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 246727) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236514) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2020-03-05 |