NPI | 1811199904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 17594) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17594) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2024-08-20 |