NPI | 1497717458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD12309) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0024712) |
207R00000X Internal Medicine (Licence: DC MD12391) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0024712) | |
Enumeration Date | 2006-04-05 |
Last Update Date | 2018-03-06 |