NPI | 1578672267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43491) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 40609) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-09-03 |