NPI | 1821090895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C2-0010188) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS-003303-L) |
207R00000X Internal Medicine (Licence: NY 182107) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 182107) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD H0058104) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS-003303-L) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-11-09 |