NPI | 1811074503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036071752) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 36071752) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-01-04 |