NPI | 1497795389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 5162) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 5162) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 275830I205) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-10-19 |