NPI | 1891916219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.128842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M5520) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2022-12-14 |