NPI | 1538251962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G48267) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G48267) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD24919) | |
Enumeration Date | 2006-09-30 |
Last Update Date | 2024-04-23 |