NPI | 1720187826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60037732) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008507) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-05-21 |