NPI | 1912955642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 261528) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 261528) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2021-11-04 |