NPI | 1922084839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 77962) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 77962) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2024-01-08 |