NPI | 1700173762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PR 19132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19132) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2024-05-21 |