NPI | 1922082544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0030715) |
Additional Taxonomies | 174400000X Specialist (Licence: FL 0030715) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0030715) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2024-08-27 |