NPI | 1457642647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P8437) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P8437) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2023-03-29 |