NPI | 1528050465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2020-1152) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 293409-1205) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2024-01-04 |