NPI | 1871545954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 73314) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60789987) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036093444) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2025-03-12 |