NPI | 1659363919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R7H22) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R7H22) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2023-10-18 |