NPI | 1780674721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2012-00554) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI MD-14539) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101234534) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2021-02-24 |