NPI | 1922200930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 240064) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045042) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2021-06-22 |