NPI | 1922142223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036140942) |
Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: OH 35-041267) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2019-01-02 |