NPI | 1588635700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS005941L) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 3465) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2021-05-24 |