NPI | 1821307877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS12464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2602) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2018-08-23 |