NPI | 1891781712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301035302) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301035302) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2021-03-31 |