NPI | 1922047935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD23763) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00049327) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2021-03-25 |