NPI | 1760695696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A97729) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97729) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2022-08-06 |