NPI | 1467434571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD043426L) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA06073000) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2021-05-18 |