NPI | 1639138001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A25274) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A25274) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2021-01-26 |