NPI | 1588643993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD071014L) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD-071014-L) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2024-09-17 |