NPI | 1508807280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-107955) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101236402) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2021-11-22 |