NPI | 1659376689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A6509) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007666) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2022-11-04 |