NPI | 1659691913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01071113A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071113A) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2022-06-28 |