NPI | 1861728982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2017024770) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-36204) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2020-10-29 |