NPI | 1861426363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036156903) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301111758) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME35992) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301111758) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2021-09-27 |