NPI | 1669705687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101018439) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018439) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2020-11-17 |