NPI | 1851589162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME103253) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC 034810) |
174400000X Specialist (Licence: DC MD034810) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2021-08-27 |