NPI | 1700064342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 58500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002184) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2022-04-12 |