NPI | 1518953694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G39875) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G39875) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2021-10-21 |