NPI | 1588623912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 45742) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 211620) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 211620) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2016-11-22 |