NPI | 1508108846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301502150) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502150) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2020-08-25 |