NPI | 1770875338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T6200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6200) |
207R00000X Internal Medicine (Licence: PA MT199159) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD453930) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 308992) | |
Enumeration Date | 2011-05-13 |
Last Update Date | 2022-04-29 |