NPI | 1700084431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 30072) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC TL30072) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2022-01-25 |