NPI | 1891898797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A87962) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A87962) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2022-10-17 |