NPI | 1710270608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME120684) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120684) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2021-03-22 |