NPI | 1568753606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 15282) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 72888) |
Enumeration Date | 2011-04-24 |
Last Update Date | 2019-09-03 |