NPI | 1568447076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MT 78530) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-090378) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2024-04-08 |