NPI | 1518029958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101012566) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101012566) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2019-08-29 |