NPI | 1891835385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0063569) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD035654) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101240455) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2024-04-29 |