NPI | 1558367490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 39181) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 18785) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2022-06-01 |