NPI | 1649254848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 064696) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35086955) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2022-01-07 |