NPI | 1861766693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 64755) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD456341) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD456341) | |
Enumeration Date | 2012-02-24 |
Last Update Date | 2024-09-28 |