NPI | 1578646501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 11650) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 11650) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2024-08-05 |