NPI | 1851558167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD042468) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD042468) |
207R00000X Internal Medicine (Licence: MD D0078289) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0078289) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2023-12-06 |