NPI | 1851577506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD162469) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD162469) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2021-06-21 |