NPI | 1598750481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD37665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 37665) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2023-10-02 |