NPI | 1790056984 |
---|---|
Other Name | ROD DEANO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 64177-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL C6873/AU3890402) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2021-01-22 |